Individual provider Active NPI

Lenaya Terrill Kerlin, LPCC

  • Counselor
  • Saint Paul, MN
National Provider Identifier
1619535192
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CC02122 Issued in MN
Practice address
275 4TH St E Ste 301
Saint Paul, MN 55101-1771
Phone
(612) 314-5867
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CC02122 MN Primary

Addresses

Primary practice location

275 4TH St E Ste 301
Saint Paul, MN 55101-1771

Mailing address

725 Parkside Dr
Vadnais Heights, MN 55127-3651
Phone (701) 351-5383

Other practice location 1

1875 Northwestern Ave S
Stillwater, MN 55082-7534
Phone (651) 439-4840 ext. 4116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126003798 MN Practitioner - Mental Health Counselor 8325491251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Art of Counseling PLLCGroup PAC ID 3678918042, 14 clinicians

Practice addresses (Care Compare)

275 4TH St E
Saint Paul, MN 55101-1771
Phone (651) 318-0109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC02122MNMDCounselor
2122MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Counseling, PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

275 4th St E
Ste 301
Saint Paul, MN 55101
Phone (651) 318-0109

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1619535192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 PARKSIDE DR",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551273651",
            "telephone_number": "701-351-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 4TH ST E STE 301",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011771",
            "telephone_number": "612-314-5867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 Northwestern Ave S",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550827534",
            "country_code": "US",
            "telephone_number": "651-439-4840 x4116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERLIN",
        "first_name": "LENAYA",
        "middle_name": "TERRILL",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MN",
            "license": "CC02122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.